Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.81 / $2,747.00 / $7,920.26	Facility		$371.81	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.77 / $489.12 / $803.65	Professional		$385.77	$489.12	$803.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.36 / $502.22 / $772.94	Facility		$261.36	$502.22	$772.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $356.44 / $604.90 / $674.13	Facility		$356.44	$604.90	$674.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.36 / $502.22 / $940.41	Facility		$261.36	$502.22	$940.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00